Individual
DR. THOMAS H GIBSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2350 WASHTENAW AVE, SUITE 12, ANN ARBOR, MI 48104-4532
(734) 669-8200
(734) 669-8282
Mailing address
15151 SHARON VALLEY RD, MANCHESTER, MI 48158-9500
(734) 428-0227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TG005191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H150140
BCBS OF MICHIGAN
MI
Enumeration date
06/12/2006
Last updated
07/08/2007
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